| NPI | 1063644086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 445261) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-133601) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2020-11-25 |